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Updated: Apr 23, 2026

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
Published on: January 17, 2011
Difficult airway management in an infant with bilateral tessier number 4 cleft
Insights
Airway management in infants with severe facial deformities, such as Tessier 4 clefts, can be successfully achieved using a standard laryngeal mask. This approach proved effective for a three-month-old undergoing eye surgery.
Area of Science:
- Pediatric Anesthesiology
- Craniofacial Surgery
- Airway Management
Background:
- Severe congenital facial malformations pose significant challenges for airway management.
- Bilateral Tessier number 4 clefts represent a complex anatomical abnormality affecting the midface and palate.
- Successful airway management is critical for patient safety during surgical procedures.
Abstract:
This case report describes the airway management of three month old child presenting with a severe facial congenital malformation, a bilateral Tessier number 4 cleft, and scheduled to undergo benign eye surgery. The use of a conventional laryngeal mask allowed successful management, despite the severity of the facial abnormality. This case is then discussed at the light of the literature.
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